This is a midwifery based essay focussing on complementary and alternative medicine (CAM).

This essay is to be 2000 words.

To be written in third person.

Minimum of 8 references.

Harvard style referencing

To include an introduction, Body and Conclusion

Case Study

You see Linda, a 26 year old woman (G2P1) at midwives clinic at 14 weeks. She tells you that she is suffering from terrible morning sickness, that she had it with her previous pregnancy but that it is much worse this time as she also has a toddler the care for. She wants to avoid taking any medication as she is concerned about the effect on her baby and asks about any complementary or alternative therapies that might help.

Recommended resources, documents and databases –

AHPRA

ICM

NMBA

Cochran Reviews/randomised controlled trials

Google scholar

OVID

MIDIRS

Midwives code of ethics/conduct and professional boundaries.

Competency standards

TGA website

DMF (decision making framework)

QLD Health guidelines (limit the use of this please).

Relevant Journals and articles written within the last 5 years unless relevant.

Introduction –

This is an overview of what is to follow and what the essay will be written about.

Body –

The role of the midwife regarding therapeutic strategies (This can be introduced here or integrated in other sections of the essay).

What does the evidence say? Include a range of therapies 3-5 therapies. This should be the bulk of the essay.

Demonstration of collaborative relationships in assessment, planning, implementation and evaluation.

Conclusion –

What has been discussed?

References –

Minimum of 10 references.

CRITERIA:

The following criteria will be assessed for this essay.

Articulate the role of the midwife, scope of practice and legislative/regulatory requirements relating to therapeutic strategies – Integration of critical analysis of the role of the midwife, scope of practice and legislative/regulatory requirements relating to therapeutic strategies was evident.

Critique the evidence as applied to a range of therapies and justify their application to the case study – Integration of critical analysis on professional practice using contemporary evidence as applied to a range of therapies in midwifery care in relation to the chosen case study was evident. Highly relevant literature was used throughout and the critical analysis of the literature was insightful.

Demonstrate collaborative relationships in assessment, planning, implementation and evaluation of midwifery care – A planned approach to assessment, consultation, referral, collaboration and care within a multi-disciplinary team was clearly and effectively demonstrated; demonstrating a comprehensive understanding of the role of the midwife.

This case study focuses on complementary and alternative therapies such as –

Non-pharmacological

Naturopathy

Homeopathy

Acupuncture

Acupressure

Ginger

Zink

Peppermint

B6

Chiropractic

Moxibustion

Acustimulation

Pharmacological – What pregnancy category are these medications in.

Zofran

Maxalon

Metoclopramide

Hydrochloride

Monohydrate

Avoid medical intervention, may discuss medical options when CAM therapies do not work or are not appropriate but focus on CAM.

Discuss regulations on therapies.

May discuss/suggest alternative therapies that do not have strong evidence to support them, however the potential for harm must be very low.

Please discuss contraindications and adverse reactions.

Midwives are not allowed to recommend particular practitioners but are allowed to suggest looking for qualified, registered, specialised practitioners.

May use Susan Weed’s 6 steps to healing as a guide.

This is a midwifery based case study/essay discussing the complementary and alternative therapies (as well as some pharmacological) available to pregnant woman to help alleviate morning sickness. This includes options, regulations, contraindications etc. I have attached a full description of the requirements as well as other useful information. PLEASE utilise this information.

Information on this coursework item can be found on pages 1-5 of this document

ESSAY

For this assessment you are required to evaluate, appraise and critique an application for a fictional new drug, based on the clinical trial report submitted to a new medicines regulation agency. Although this is a fictional case study, it is based on the existing clinical trials regulation/drug licensing, the science underlying the drug’s mechanism of action is real, and the task is similar to actual duties conducted by individuals who work in this field.

1) Outline the rationale underlying clinical trial and discuss the potential clinical efficacy of the new drug.

30% of total marks

a) What is problem being addressed (e.g. hypertension) and why are new drugs needed?

b) Describe the proposed mechanism of action of the new drug and how it might produce a therapeutic effect.

c) Discuss the existing available evidence (in real scientific literature) that supports/does not support the likelihood of the new drug being an effective treatment or systemic hypertension.

2) Critique the design and methodology used in the clinical trial to assess the safety and efficacy of the new drug

40% of total marks

a) Describe what flaws exist in the methodology and design of the trial and discuss why they are problematic (in terms of their likely effect on the data and conclusions).

b) Discuss what alternative approaches could have been utilized to improve the reliability/accuracy of the data generated.

3) Discuss and evaluate the conclusions presented in the case study, based on the data presented and the underlying methodology. Make a judgement as to whether there is sufficient available evidence presented in the report to support approving marketing/licensing of the new drug, and justify your decision.

30% of total marks

a) Evaluate the meaning and reliability of the conclusions presented in the report – does the data and methodology support these conclusions?

b) Discuss whether the findings are consistent with the proposed activity of the new drug and previous studies involving drugs with similar pharmacological properties?

c) Does the report include sufficient evidence to support the conclusion that the drug is safe and effective (and therefore approve licensing), and why?

Coursework Instructions and Marking Scheme

As this is an essay type question, you can illustrate your answer using tables, figures, schemes, etc which must each have legends. These will not be counted in the word limit. Please note that only 10% of the world limit will be acceptable. The guidelines below will give you an idea of the different sections that must be included in the report/essay.

Report summary: Begin the report with a brief (150-200 words) overall summary of your evaluation of the new drug, the clinical trial and a concise justification of your decision as to whether to approve or reject the application for licensing.

Structure: Focus on the main questions, tasks and points highlighted in the mark scheme, above, and structure the essay under appropriate headings. Remember that because of the relatively small word limit, you will need to focus on the most important aspects/critiques and only include the most relevant points. A well-structured report would contain the following:

A brief, overall summary of the report (discussed above)

A section discussing the rationale for the study, the new drug, its pharmacological action, and previous studies relevant to its potential efficacy for treating hypertension.

A section evaluating and critiquing the design and methodology of the clinical trial.

A section discussing and evaluating the data presented in the report.

A concluding section/paragraph in which you state and justify your decision to approve/reject the application for marketing/licensing.

Content: The information used must be relevant and accurate. Every sentence you write must be there for a reason and add quality/value to your report. It is also very important that you fully explain and justify all points that you make. For example, don’t just list things which were bad about the trial’s methodology, ensure that you explain why it is important, what effect it would have, what is the problem with doing it this way, how it should have been done, etc. Also, rather than just stating your opinion, you should construct coherent arguments which are supported by evidence, which demonstrates your point. Overall, the essay must be accurate, relevant, concise and clear. The information presented must be done so in a logical and coherent manner with conclusions fitting what is being discussed.

Where appropriate (e.g. when discussing the drug, its pharmacology and evidence of efficacy contained previous studies), you must research and support your points/argument using Peer-reviewed sources (e.g. articles published in scientific journals). Whenever possible, you should always try to refer to the original research papers that contain the evidence, rather than citing review articles.

Whenever you make an assertion that relies on external facts or evidence, you must support it with references that contain evidence that indicating what you’re saying is true. However when doing so, it is important that you understand, evaluate and synthesise the information, and write it in your own words, rather than simply copying/quoting from the source.

Presentation: You must write using a good standard of written English (grammar, spelling, punctuation, etc.). Appropriate scientific style and terminology should be used. References should be cited and listed appropriately (using CU Harvard styling). Diagrams, figures, tables, etc. can be used to illustrate points, however you must include appropriate figure legends which explain the information contained in the figure table, as well as its relevance to what you are discussing.

You must stay within the word limit. Exceeding the limit by more than 10% will result in marking penalties. Note:the word limit includes all text contained in the report, except for the main title, reference section, and data tables.

Word limit: 1,500 words

Specific help available for the essay

During the module the group will receive guidance in obtaining appropriate information

Students may also use relevant staff’s academic surgeries to discuss specific issues related to the coursework.

Submission date and procedure

Coursework must be submitted online only

An electronic copy only is required. If you hand submit your coursework LATE your overall mark will be penalised in line with standard University Penalties (see below). Electronic copies should be submitted on CU Online, using the TurnItIn link provided by 11.55pm on the due date (see above for due date and requirements).

Normal penalties for late/ none submission apply:

work that is submitted late, without an extension or deferral having been granted, will receive a mark of ZERO (students MAY be eligible for a resit attempt)

Work that is not submitted will be recorded as ABSENT- students will NOT be entitled to resit the module. THIS MAY HAVE VERY SERIOUS CONSEQUENCES.

If you are unable to hand your coursework in by the required deadline and are eligible for an extension or deferral you must contact the departmental office (JSG23, 02476 88 8175) or your level tutor as soon as possible and BEFORE the date the work is due.

Plagiarism

Students are required to sign the declaration on plagiarism on the cover sheet. As stated in this declaration your work must be your own independent piece of work, not produced in collusion with a fellow student (i.e. your work should not be similar to any other students) or plagiarised (copied) from a fellow student or a web site or a text book or any other information source. When referencing sources of information (books, journals or web pages) make sure you use the correct Coventry University Harvard referencing system

Please note that Turnitin will compare your work with material from the Web and from submissions from other students. IT IS VERY IMPORTANT THAT YOU DO NOT COPY AND PASTE MATERIAL FROM THE WEB OR OTHER SOURCES, ALWAYS PUT THE MATERIAL INTO YOUR OWN WORDS.

Penalties for work that is too long

If your work is more than 10% over the word limit then 10% of your mark will be removed as a penalty. Your limit is 1500 words- so you will be penalised if it is more than 1650 words long

The student answers the question fully, particularly in the areas requiring greater analysis, synthesis and evaluation.

The work is clearly linked and structured, and is also succinct.

A clear and convincing line of argument is presented.

Provides thorough evidential support and critical knowledge of theoretical positions.

UPPER SECOND (Very Good)

62,65,68

A substantial attempt to answer the question with adequate emphasis on the more analytical components.

Relationships between statements and sections are generally easy to follow, and there is a sound structure.

There is a reasonably clear line of argument.

The need for evidence is clearly recognised, and most claims are supported by relevant evidence.

LOWER SECOND

(Good)

52,55,58

Uses some relevant material but not always as effectively as they could be used.

Relationships between statements and sections are sometimes hard to follow or not fully articulated.

The line of argument is not always convincing.

Provision of supporting evidence is spasmodic.

THIRD(Pass)

42,45,48

Does not always answer the question fully.

Relationships between statements and sections are sometimes unclear.

The line of argument is weak in places.

Use of evidence is occasionally weak.

FAIL

Compensatory fail: 35,38

Clear fail: 0,10,20,30

Substantially fails to answer the question or to address the topic.

There are few clear links between statements or sections.

Little convincing argument is presented, and is mostly descriptive.

Minimal reference is made to supportive evidence.

Please note the classification you are given for each of the specified criteria cannot be used to establish the overall mark awarded, it is used as an indication of how your work fulfilled each criterion

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